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Culturing of Giardia lamblia under microaerobic conditions can impact metronidazole susceptibility by inducing increased expression of antioxidant enzymes
IF 4.1 2区 医学 Q1 PARASITOLOGY Pub Date : 2025-02-01 DOI: 10.1016/j.ijpddr.2025.100585
Kateryna Starynets , Ana Paunkov , Anja Wagner , Klaus Kratochwill , Christian Klotz , David Leitsch
The microaerophilic/anaerobic protist Giardia lamblia is a world-wide occurring parasite of the human small intestine. It causes giardiasis which manifests as diarrhoea accompanied by other sequelae. Giardiasis is most commonly treated with either the 5-nitroimidazole metronidazole or the benzimidazole albendazole. Unfortunately, the number of refractory cases is increasing, which is probably caused, at least in part, by drug resistance. However, most attempts to isolate metronidazole-resistant G. lamblia strains from patients have failed so far because the parasites were not resistant when tested in vitro.
We hypothesized that this failure might be caused by drug assay conditions which are standardly anaerobic, and performed metronidazole susceptibility testing with two well studied strains, i.e. WB C6 and BRIS/87/HEPU/713 (strain 713) under microaerophilic conditions. Indeed, 713 proved to be less susceptible to metronidazole under microaerophilic conditions as compared to anaerobic conditions, and residual growth was even noted at concentrations of metronidazole similar to those in the serum of treated patients (i.e. about 100 μM). Further experiments showed that 713 also grows much faster under microaerobic conditions than WB C6. Reduced susceptibility to metronidazole under microaerobic conditions was also observed in a clinical isolate from a refractory giardiasis case.
Two-dimensional gel electrophoresis showed that microaerobic growth was accompanied by the upregulation of superoxide reductase, a pyridoxamine 5′-phosphate oxidase putative domain-containing protein, and a TlpA-like protein in 713 but not in WB C6. All three proteins are known, or can be predicted to have antioxidant functions. Indeed, overexpression of pyridoxamine 5′-phosphate oxidase in WB C6 from a plasmid carrying the respective gene behind the arginine deiminase promoter significantly improved growth of the transfected cell line under microaerobic conditions. Moreover, similarly overexpressed superoxide reductase conferred significant protection against metronidazole.
Our results suggest that oxygen concentrations can affect the outcomes of metronidazole treatment against G. lamblia.
{"title":"Culturing of Giardia lamblia under microaerobic conditions can impact metronidazole susceptibility by inducing increased expression of antioxidant enzymes","authors":"Kateryna Starynets ,&nbsp;Ana Paunkov ,&nbsp;Anja Wagner ,&nbsp;Klaus Kratochwill ,&nbsp;Christian Klotz ,&nbsp;David Leitsch","doi":"10.1016/j.ijpddr.2025.100585","DOIUrl":"10.1016/j.ijpddr.2025.100585","url":null,"abstract":"<div><div>The microaerophilic/anaerobic protist <em>Giardia lamblia</em> is a world-wide occurring parasite of the human small intestine. It causes giardiasis which manifests as diarrhoea accompanied by other sequelae. Giardiasis is most commonly treated with either the 5-nitroimidazole metronidazole or the benzimidazole albendazole. Unfortunately, the number of refractory cases is increasing, which is probably caused, at least in part, by drug resistance. However, most attempts to isolate metronidazole-resistant <em>G</em>. <em>lamblia</em> strains from patients have failed so far because the parasites were not resistant when tested <em>in vitro</em>.</div><div>We hypothesized that this failure might be caused by drug assay conditions which are standardly anaerobic, and performed metronidazole susceptibility testing with two well studied strains, i.e. WB C6 and BRIS/87/HEPU/713 (strain 713) under microaerophilic conditions. Indeed, 713 proved to be less susceptible to metronidazole under microaerophilic conditions as compared to anaerobic conditions, and residual growth was even noted at concentrations of metronidazole similar to those in the serum of treated patients (i.e. about 100 μM). Further experiments showed that 713 also grows much faster under microaerobic conditions than WB C6. Reduced susceptibility to metronidazole under microaerobic conditions was also observed in a clinical isolate from a refractory giardiasis case.</div><div>Two-dimensional gel electrophoresis showed that microaerobic growth was accompanied by the upregulation of superoxide reductase, a pyridoxamine 5′-phosphate oxidase putative domain-containing protein, and a TlpA-like protein in 713 but not in WB C6. All three proteins are known, or can be predicted to have antioxidant functions. Indeed, overexpression of pyridoxamine 5′-phosphate oxidase in WB C6 from a plasmid carrying the respective gene behind the arginine deiminase promoter significantly improved growth of the transfected cell line under microaerobic conditions. Moreover, similarly overexpressed superoxide reductase conferred significant protection against metronidazole.</div><div>Our results suggest that oxygen concentrations can affect the outcomes of metronidazole treatment against <em>G</em>. <em>lamblia</em>.</div></div>","PeriodicalId":13775,"journal":{"name":"International Journal for Parasitology: Drugs and Drug Resistance","volume":"27 ","pages":"Article 100585"},"PeriodicalIF":4.1,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143179624","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Investigation of risk factors associated with Ancylostoma spp. infection and the benzimidazole F167Y resistance marker polymorphism in dogs from the United States
IF 4.1 2区 医学 Q1 PARASITOLOGY Pub Date : 2025-01-31 DOI: 10.1016/j.ijpddr.2025.100584
Pablo D. Jimenez Castro , Jennifer L. Willcox , Haresh Rochani , Holly L. Richmond , Heather E. Martinez , Cecilia E. Lozoya , Christian Savard , Christian M. Leutenegger
Ancylostoma caninum is the most significant intestinal nematode parasite of dogs. We acquired fecal surveillance data from a large population of dogs in the United States (US). A diagnostic test using real-time PCR (qPCR) for Ancylostoma spp. and allele-specific qPCR detecting the SNP F167Y in the isotype 1 of the Beta-tubulin gene, was used in 885,424 randomized canine fecal samples collected between March 2022 and December 2023. Overall, Ancylostoma spp. had a prevalence of 1.76% (15,537/885,424), with the highest in the South 3.73% (10,747/287,576), and the lowest in the West 0.45% (632/140,282). Within the subset of Ancylostoma spp.-detected dogs used for further analysis, the F167Y SNP had an overall prevalence of 14.44% with the highest in the West and the lowest in the Midwest (10.76%). The greyhound exhibited a higher prevalence of Ancylostoma spp. infections (17.03%) and a higher prevalence of the F167Y polymorphism (33.6%) compared to non-greyhounds (13.7% and 2.08%), respectively, but were not associated with the highest risk for the F167Y polymorphism. Sex did not influence hookworm infection nor F167Y polymorphism prevalence. Intact dogs had a prevalence of hookworm infection and F167Y polymorphism of 3.88% and 15.66%, respectively. Puppies showed increased prevalence of hookworms (3.70%) and the F167Y SNP (17.1%). Greyhounds, bluetick coonhounds, and boerboels had the highest relative risks for hookworm infection, while Cavalier King Charles spaniels, Havanese, and shiba inus had the lowest. The top and bottom three with the highest and lowest RR for the F167Y SNP were the old English sheepdog, American foxhound, and toy poodle Toy, and shih tzu, Maltese, and Australian cattle dogs, respectively. This study highlights the value of an accessible diagnostic qPCR test with fast turnaround in unraveling the molecular epidemiology of hookworms and benzimidazole resistance, as well as explore potentially important risk factorsin dogs with routine veterinary care.
{"title":"Investigation of risk factors associated with Ancylostoma spp. infection and the benzimidazole F167Y resistance marker polymorphism in dogs from the United States","authors":"Pablo D. Jimenez Castro ,&nbsp;Jennifer L. Willcox ,&nbsp;Haresh Rochani ,&nbsp;Holly L. Richmond ,&nbsp;Heather E. Martinez ,&nbsp;Cecilia E. Lozoya ,&nbsp;Christian Savard ,&nbsp;Christian M. Leutenegger","doi":"10.1016/j.ijpddr.2025.100584","DOIUrl":"10.1016/j.ijpddr.2025.100584","url":null,"abstract":"<div><div><em>Ancylostoma caninum</em> is the most significant intestinal nematode parasite of dogs. We acquired fecal surveillance data from a large population of dogs in the United States (US). A diagnostic test using real-time PCR (qPCR) for <em>Ancylostoma</em> spp. and allele-specific qPCR detecting the SNP F167Y in the isotype 1 of the Beta-tubulin gene, was used in 885,424 randomized canine fecal samples collected between March 2022 and December 2023. Overall, <em>Ancylostoma</em> spp. had a prevalence of 1.76% (15,537/885,424), with the highest in the South 3.73% (10,747/287,576), and the lowest in the West 0.45% (632/140,282). Within the subset of <em>Ancylostoma</em> spp<em>.-</em>detected dogs used for further analysis, the F167Y SNP had an overall prevalence of 14.44% with the highest in the West and the lowest in the Midwest (10.76%). The greyhound exhibited a higher prevalence of <em>Ancylostoma</em> spp. infections (17.03%) and a higher prevalence of the F167Y polymorphism (33.6%) compared to non-greyhounds (13.7% and 2.08%), respectively, but were not associated with the highest risk for the F167Y polymorphism. Sex did not influence hookworm infection nor F167Y polymorphism prevalence. Intact dogs had a prevalence of hookworm infection and F167Y polymorphism of 3.88% and 15.66%, respectively. Puppies showed increased prevalence of hookworms (3.70%) and the F167Y SNP (17.1%). Greyhounds, bluetick coonhounds, and boerboels had the highest relative risks for hookworm infection, while Cavalier King Charles spaniels, Havanese, and shiba inus had the lowest. The top and bottom three with the highest and lowest RR for the F167Y SNP were the old English sheepdog, American foxhound, and toy poodle Toy, and shih tzu, Maltese, and Australian cattle dogs, respectively. This study highlights the value of an accessible diagnostic qPCR test with fast turnaround in unraveling the molecular epidemiology of hookworms and benzimidazole resistance, as well as explore potentially important risk factorsin dogs with routine veterinary care.</div></div>","PeriodicalId":13775,"journal":{"name":"International Journal for Parasitology: Drugs and Drug Resistance","volume":"27 ","pages":"Article 100584"},"PeriodicalIF":4.1,"publicationDate":"2025-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143222955","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Combining the zebrafish embryo developmental toxicity assay (ZEDTA) with hemoglobin staining to accelerate the research of novel antimalarial drugs for pregnant women
IF 4.1 2区 医学 Q1 PARASITOLOGY Pub Date : 2025-01-22 DOI: 10.1016/j.ijpddr.2025.100582
Lucia Borrallo-Lopez , Laura Guzman , Noelia G. Romero , Anna Sampietro , Ana Mallo-Abreu , Laia Guardia-Escote , Elisabet Teixidó , Burkhard Flick , Xavier Fernàndez-Busquets , Diego Muñoz-Torrero , Marta Barenys

Background

Malaria during pregnancy implies a high risk for the mother and the developing child. However, the therapeutic options for pregnant women have historically been very limited, especially during the first trimester of pregnancy due to potential adverse effects on embryo-fetal development. Recently, there has been great controversy regarding these potential embryo-fetal adverse effects because the results of rodent studies were not in accordance with the clinical data available, and finally the WHO has changed the recommendations for pregnant women with uncomplicated P. falciparum malaria to treatment with artemether-lumefantrine during the first trimester. The discrepancy between pre-clinical and clinical studies has been attributed to species-differences in the duration of the window of susceptibility of circulating primitive erythroblasts.

Methods

Here we provide a tool based on an alternative method to animal experimentation that accelerates the research of novel drugs for pregnant women. We have adapted the zebrafish embryo developmental toxicity assay to include hemoglobin staining in the embryos and two time-points of lethality and dysmorphogenesis evaluation. These two time-points were selected to include one when the development is independent of and one when the development is dependent of erythrocytes function. The method was used to test four marketed antimalarial drugs and three new antimalarial drug candidates.

Results

Our combination of tests can correctly predict the teratogenic and non-teratogenic effects of several antimalarial marketed drugs (artemisinin, quinine, chloroquine, and dihydroartemisinin + desbutyl-lumefantrine). Furthermore, we have tested three new drug candidates (GS-GUAN, DONE3TCl, and YAT2150) with novel mechanisms of action, and different from those of the marketed antimalarial drugs.

Conclusions

We propose a decision tree combining the results of the two time-points of evaluation together with the information on significant erythrocyte depletion. The aim of this decision tree is to identify compounds with no or lower hazard on teratogenicity or erythrocyte depletion at an early phase of the drug development process.
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引用次数: 0
Selective activity of Tabebuia avellanedae against Giardia duodenalis infecting organoid-derived human gastrointestinal epithelia
IF 4.1 2区 医学 Q1 PARASITOLOGY Pub Date : 2025-01-22 DOI: 10.1016/j.ijpddr.2025.100583
Giulia Rigamonti , Fabrizia Veronesi , Elisabetta Chiaradia , Petra Gosten-Heinrich , Antonia Müller , Leonardo Brustenga , Stefano de Angelis , Alessia Tognoloni , Riccardo De Santo , Christian Klotz , Marco Lalle
Giardia duodenalis is a widespread intestinal protozoan that affects mammals, including humans. Symptoms can range from being subclinical to causing severe abdominal pain and diarrhoea. Giardiasis often requires repeated treatment with synthetic drugs like metronidazole. In recent years, treatment failures in clinical cases involving nitroimidazoles have been increasingly reported. Consequently, identifying therapeutic alternatives is necessary. Medicinal plants have traditionally been used as antiparasitic compounds, but systematic evaluation under controlled experimental conditions is often lacking. Here, we evaluated the in vitro efficacy of Tabebuia avellanedae dry and hydroalcoholic extracts, as well as one of its active compounds, β-lapachone, as potential treatment against G. duodenalis infection. We observed effective antigiardial activity for all tested compounds, with β-lapachone exhibiting lower IC50 values than metronidazole. Cytotoxic effects often limit therapeutic concentration windows of opportunity, and choosing an informative model to assess them is not straightforward. In the present case, only T. avellanedae hydroalcoholic extract showed no cytotoxicity on tumoral human intestinal Caco-2 cell line, and only a trend of inhibition when tested on canine epithelial kidney MDCK cells. To introduce a more physiological test system, we used in vitro G. duodenalis infection experiments in a trans-well set-up using organoid derived monolayers (ODM) to assess at the same time drug efficacy against the parasite and safety on primary human intestinal epithelia, a likely surrogate for in vivo conditions. Our studies using this model point towards the potential therapeutic opportunity for non-systemic applications of T. avellanedae extracts and a relevant ingredient of these, β-lapachone. The data suggest that ODM co-cultures with G. duodenalis are suitable for testing antigiardial compounds, providing a more informative in vitro model before progressing to in vivo tests.
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引用次数: 0
Investigation of the threonine metabolism of Echinococcus multilocularis: The threonine dehydrogenase as a potential drug target in alveolar echinococcosis
IF 4.1 2区 医学 Q1 PARASITOLOGY Pub Date : 2025-01-18 DOI: 10.1016/j.ijpddr.2025.100581
Marc Kaethner , Pascal Zumstein , Joachim Müller , Matías Preza , Philipp Grossenbacher , Anissa Bartetzko , Laura Vetter , Martin Lochner , Stefan Schürch , Clement Regnault , Daniel Villalobos Ramírez , Britta Lundström-Stadelmann
Alveolar echinococcosis (AE) is a severe zoonotic disease caused by the metacestode stage of the fox tapeworm Echinococcus multilocularis. We recently showed that E. multilocularis metacestode vesicles scavenge large amounts of L-threonine from the culture medium. This motivated us to study the effect of L-threonine on the parasite and how it is metabolized. We established a novel metacestode vesicle growth assay with an automated readout, which showed that L-threonine treatment led to significantly increased parasite growth. In addition, L-threonine increased the formation of novel metacestode vesicles from primary parasite cell cultures in contrast to the non-proteinogenic threonine analog 3-hydroxynorvaline. Tracing of [U-13C]-L-threonine and metabolites in metacestode vesicles and culture medium resulted in the detection of [U-13C]-labeling in aminoacetone and glycine, indicating that L-threonine was metabolized by threonine dehydrogenase (TDH). EmTDH-mediated threonine metabolism in the E. multilocularis metacestode stage was further confirmed by quantitative real-time PCR, which demonstrated high expression of emtdh in in vitro cultured metacestode vesicles and also in metacestode samples obtained from infected animals. EmTDH was enzymatically active in metacestode vesicle extracts. The compounds disulfiram, myricetin, quercetin, sanguinarine, and seven quinazoline carboxamides were evaluated for their ability to inhibit recombinantly expressed EmTDH. The most potent inhibitors, albeit not very strong or highly specific, were disulfiram, myricetin and sanguinarine. These compounds were subsequently tested for activity against E. multilocularis metacestode vesicles and primary parasite cells and only sanguinarine demonstrated significant in vitro activity. However, TDH is not its only cellular target, and it is also known to be highly toxic. Our findings suggest that additional targets of sanguinarine should be explored, and that it may serve as a foundation for developing more specific compounds against the parasite. Moreover, the EmTDH assay could be a valuable high-throughput, target-based platform for discovering novel anti-echinococcal compounds.
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引用次数: 0
3′-deoxytubercidin: A potent therapeutic candidate for the treatment of Surra and Dourine 3'-脱氧结核菌素:治疗磺胺和磺胺的有效候选药物。
IF 4.1 2区 医学 Q1 PARASITOLOGY Pub Date : 2025-01-10 DOI: 10.1016/j.ijpddr.2025.100580
Kayhan Ilbeigi , Dorien Mabille , Rajdeep Roy , Mirco Bundschuh , Ewout Van de Velde , Fabian Hulpia , Serge Van Calenbergh , Guy Caljon
Surra and Dourine are widespread diseases caused by two protozoan parasites Trypanosoma brucei evansi and Trypanosoma brucei equiperdum, respectively. A wide range of animals including camels, horses, cattle and buffaloes are susceptible to infection. These diseases pose a significant socio-economic burden, primarily due to the limited therapeutic options and the complications associated with toxicity and drug resistance, making disease management particularly challenging. This study evaluated the potential of 3′-deoxytubercidin, a previously identified antitrypanosomal nucleoside, as a therapeutic candidate for Surra and Dourine using mouse models. Mice infected with either T. b. evansi or T. b. equiperdum were treated with 3′-deoxytubercidin at a dosage of 6.25 mg kg−1 administrated intraperitoneally once daily for five consecutive days. The treatment resulted in full cure, as confirmed by both microscopic examination and quantitative PCR, without any observed toxicity. Given the importance of considering the One Health concept in developing new antiparasitic drugs for veterinary use, the environmental impact of 3′-deoxytubercidin was assessed through the ecotoxicity tests on aquatic organisms, conducted in accordance with OECD guidelines. The compound showed some toxicity to Daphnia (EC50 = 0.54 mg L−1 in acute Daphnia test) but had no significant adverse effects on green alga at concentrations tested (up to 50 mg L−1). This study confirms the suitability of 3′-deoxytubercidin as an effective and safe therapeutic candidate for further development in the treatment of Surra and Dourine, highlighting its potential for improving disease management in affected regions.
Surra和Dourine是由两种原生动物寄生虫分别引起的广泛疾病,分别为伊氏锥虫和装备氏锥虫。包括骆驼、马、牛和水牛在内的许多动物都易受感染。这些疾病造成重大的社会经济负担,主要是由于治疗选择有限以及与毒性和耐药性有关的并发症,使疾病管理特别具有挑战性。本研究利用小鼠模型评估了3'-脱氧结核菌素(一种先前发现的抗锥虫核苷)作为Surra和Dourine的候选治疗药物的潜力。用3′-脱氧结核菌素(3′-脱氧结核菌素)腹腔注射,剂量为6.25 mg kg-1,每日1次,连续5天。经显微镜检查和定量PCR证实,治疗完全治愈,无任何观察到的毒性。考虑到在开发兽药用新型抗寄生虫药物时必须考虑到“同一个健康”概念,根据经合组织准则对水生生物进行了生态毒性试验,评估了3'-脱氧结核菌素对环境的影响。该化合物对水蚤有一定的毒性(急性水蚤试验EC50 = 0.54 mg L-1),但对绿藻浓度(高达50 mg L-1)无明显的不良影响。这项研究证实了3'-脱氧结核菌素作为一种有效和安全的候选药物的适用性,可以进一步开发Surra和Dourine的治疗,突出了其改善受影响地区疾病管理的潜力。
{"title":"3′-deoxytubercidin: A potent therapeutic candidate for the treatment of Surra and Dourine","authors":"Kayhan Ilbeigi ,&nbsp;Dorien Mabille ,&nbsp;Rajdeep Roy ,&nbsp;Mirco Bundschuh ,&nbsp;Ewout Van de Velde ,&nbsp;Fabian Hulpia ,&nbsp;Serge Van Calenbergh ,&nbsp;Guy Caljon","doi":"10.1016/j.ijpddr.2025.100580","DOIUrl":"10.1016/j.ijpddr.2025.100580","url":null,"abstract":"<div><div>Surra and Dourine are widespread diseases caused by two protozoan parasites <em>Trypanosoma brucei evansi</em> and <em>Trypanosoma brucei equiperdum</em>, respectively. A wide range of animals including camels, horses, cattle and buffaloes are susceptible to infection. These diseases pose a significant socio-economic burden, primarily due to the limited therapeutic options and the complications associated with toxicity and drug resistance, making disease management particularly challenging. This study evaluated the potential of 3′-deoxytubercidin, a previously identified antitrypanosomal nucleoside, as a therapeutic candidate for Surra and Dourine using mouse models. Mice infected with either <em>T. b. evansi</em> or <em>T. b. equiperdum</em> were treated with 3′-deoxytubercidin at a dosage of 6.25 mg kg<sup>−1</sup> administrated intraperitoneally once daily for five consecutive days. The treatment resulted in full cure, as confirmed by both microscopic examination and quantitative PCR, without any observed toxicity. Given the importance of considering the One Health concept in developing new antiparasitic drugs for veterinary use, the environmental impact of 3′-deoxytubercidin was assessed through the ecotoxicity tests on aquatic organisms, conducted in accordance with OECD guidelines. The compound showed some toxicity to <em>Daphnia</em> (EC<sub>50</sub> = 0.54 mg L<sup>−1</sup> in acute <em>Daphnia</em> test) but had no significant adverse effects on green alga at concentrations tested (up to 50 mg L<sup>−1</sup>). This study confirms the suitability of 3′-deoxytubercidin as an effective and safe therapeutic candidate for further development in the treatment of Surra and Dourine, highlighting its potential for improving disease management in affected regions.</div></div>","PeriodicalId":13775,"journal":{"name":"International Journal for Parasitology: Drugs and Drug Resistance","volume":"27 ","pages":"Article 100580"},"PeriodicalIF":4.1,"publicationDate":"2025-01-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11787584/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143004889","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Biotransformation of anthelmintics in nematodes in relation to drug resistance 驱虫剂在线虫体内的生物转化与耐药性的关系。
IF 4.1 2区 医学 Q1 PARASITOLOGY Pub Date : 2025-01-07 DOI: 10.1016/j.ijpddr.2025.100579
Ondřej Vosála , Josef Krátký , Petra Matoušková , Nikola Rychlá , Karolína Štěrbová , Lucie Raisová Stuchlíková , Ivan Vokřál , Lenka Skálová
In all organisms, the biotransformation of xenobiotics to less toxic and more hydrophilic compounds represents an effective defense strategy. In pathogens, the biotransformation of drugs (used for their elimination from the host) may provide undesirable protective effects that could potentially compromise the drug's efficacy. Accordingly, increased drug deactivation via accelerated biotransformation is now considered as one of the mechanisms of drug resistance. The present study summarizes the current knowledge regarding the biotransformation of anthelmintics, specifically drugs used to treat mainly nematodes, a group of parasites that are a significant health concern for humans and animals. The main biotransformation enzymes are introduced and their roles in anthelmintics metabolism in nematodes are discussed with a particular focus on their potential participation in drug resistance. Similarly, the inducibility of biotransformation enzymes with sublethal doses of anthelmintics is presented in view of its potential contribution to drug resistance development. In the conclusion, the main tasks awaiting scientists in this area are outlined.
在所有生物体中,将异种生物转化为毒性更小、亲水性更强的化合物是一种有效的防御策略。在病原体中,药物的生物转化(用于从宿主中消除药物)可能提供不良的保护作用,可能会损害药物的功效。因此,通过加速生物转化增加药物失活现在被认为是耐药性的机制之一。本研究总结了目前关于驱虫药生物转化的知识,特别是主要用于治疗线虫的药物,线虫是一组对人类和动物造成重大健康问题的寄生虫。介绍了主要的生物转化酶,并讨论了它们在线虫体内驱虫药代谢中的作用,重点讨论了它们在耐药性中的潜在参与。同样,生物转化酶与亚致死剂量的驱虫药的诱导性,鉴于其对耐药性发展的潜在贡献,提出了。在结论部分,概述了这一领域科学家的主要任务。
{"title":"Biotransformation of anthelmintics in nematodes in relation to drug resistance","authors":"Ondřej Vosála ,&nbsp;Josef Krátký ,&nbsp;Petra Matoušková ,&nbsp;Nikola Rychlá ,&nbsp;Karolína Štěrbová ,&nbsp;Lucie Raisová Stuchlíková ,&nbsp;Ivan Vokřál ,&nbsp;Lenka Skálová","doi":"10.1016/j.ijpddr.2025.100579","DOIUrl":"10.1016/j.ijpddr.2025.100579","url":null,"abstract":"<div><div>In all organisms, the biotransformation of xenobiotics to less toxic and more hydrophilic compounds represents an effective defense strategy. In pathogens, the biotransformation of drugs (used for their elimination from the host) may provide undesirable protective effects that could potentially compromise the drug's efficacy. Accordingly, increased drug deactivation via accelerated biotransformation is now considered as one of the mechanisms of drug resistance. The present study summarizes the current knowledge regarding the biotransformation of anthelmintics, specifically drugs used to treat mainly nematodes, a group of parasites that are a significant health concern for humans and animals. The main biotransformation enzymes are introduced and their roles in anthelmintics metabolism in nematodes are discussed with a particular focus on their potential participation in drug resistance. Similarly, the inducibility of biotransformation enzymes with sublethal doses of anthelmintics is presented in view of its potential contribution to drug resistance development. In the conclusion, the main tasks awaiting scientists in this area are outlined.</div></div>","PeriodicalId":13775,"journal":{"name":"International Journal for Parasitology: Drugs and Drug Resistance","volume":"27 ","pages":"Article 100579"},"PeriodicalIF":4.1,"publicationDate":"2025-01-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11787565/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143004891","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Nitroxoline evidence amoebicidal activity against Acanthamoeba castellanii through DNA damage and the stress response pathways
IF 4.1 2区 医学 Q1 PARASITOLOGY Pub Date : 2025-01-04 DOI: 10.1016/j.ijpddr.2025.100578
Lijun Chen , Wei Han , Wenwen Jing , Meng Feng , Qingtong Zhou , Xunjia Cheng
Acanthamoeba castellanii is a widespread unicellular eukaryote found in diverse environments, including tap water, soil, and swimming pools. It is responsible for severe infections, such as Acanthamoeba keratitis and granulomatous amebic encephalitis, particularly in individuals with immunocompromisation. The ability of protozoans to form dormant and persistent cysts complicates treatment, as current therapies are ineffective against cyst stages and suffer from poor specificity and side effects. Nitroxoline, a quinoline derivative with well-established antibacterial, antifungal, and antiviral properties, is a promising therapeutic candidate. This study aimed to elucidate cellular signalling events that counteract the effects of nitroxoline. In this study, nitroxoline significantly reduced the viability of A. castellanii trophozoites in a dose- and time-dependent manner, inducing morphological changes and apoptosis. Transcriptomic analysis revealed substantial alterations in gene expression, including enrichment of metabolic pathways, DNA damage responses, and iron ion binding. Nitroxoline treatment upregulated genes involved in DNA repair and oxidative stress response while regulating genes in the methionine and cysteine cycles. It also decreased the mitochondrial membrane potential, H₂S production, and total iron amount in A. castellanii. Bioinformatic analyses and molecular docking studies suggest direct interactions between nitroxoline and several A. castellanii proteins. Our research provides a comprehensive molecular map of the response of A. castellanii to nitroxoline, revealing significant changes in gene expression related to the stress response and metabolic pathways. These findings underscore the potential of nitroxoline as a potent anti-Acanthamoeba agent, offering new insights into its mechanism of action and paving the way for effective combinational therapeutic strategies.
{"title":"Nitroxoline evidence amoebicidal activity against Acanthamoeba castellanii through DNA damage and the stress response pathways","authors":"Lijun Chen ,&nbsp;Wei Han ,&nbsp;Wenwen Jing ,&nbsp;Meng Feng ,&nbsp;Qingtong Zhou ,&nbsp;Xunjia Cheng","doi":"10.1016/j.ijpddr.2025.100578","DOIUrl":"10.1016/j.ijpddr.2025.100578","url":null,"abstract":"<div><div><em>Acanthamoeba castellanii</em> is a widespread unicellular eukaryote found in diverse environments, including tap water, soil, and swimming pools. It is responsible for severe infections, such as <em>Acanthamoeba</em> keratitis and granulomatous amebic encephalitis, particularly in individuals with immunocompromisation. The ability of protozoans to form dormant and persistent cysts complicates treatment, as current therapies are ineffective against cyst stages and suffer from poor specificity and side effects. Nitroxoline, a quinoline derivative with well-established antibacterial, antifungal, and antiviral properties, is a promising therapeutic candidate. This study aimed to elucidate cellular signalling events that counteract the effects of nitroxoline. In this study, nitroxoline significantly reduced the viability of <em>A</em>. <em>castellanii</em> trophozoites in a dose- and time-dependent manner, inducing morphological changes and apoptosis. Transcriptomic analysis revealed substantial alterations in gene expression, including enrichment of metabolic pathways, DNA damage responses, and iron ion binding. Nitroxoline treatment upregulated genes involved in DNA repair and oxidative stress response while regulating genes in the methionine and cysteine cycles. It also decreased the mitochondrial membrane potential, H₂S production, and total iron amount in <em>A</em>. <em>castellanii</em>. Bioinformatic analyses and molecular docking studies suggest direct interactions between nitroxoline and several <em>A</em>. <em>castellanii</em> proteins. Our research provides a comprehensive molecular map of the response of <em>A</em>. <em>castellanii</em> to nitroxoline, revealing significant changes in gene expression related to the stress response and metabolic pathways. These findings underscore the potential of nitroxoline as a potent anti-<em>Acanthamoeba</em> agent, offering new insights into its mechanism of action and paving the way for effective combinational therapeutic strategies.</div></div>","PeriodicalId":13775,"journal":{"name":"International Journal for Parasitology: Drugs and Drug Resistance","volume":"27 ","pages":"Article 100578"},"PeriodicalIF":4.1,"publicationDate":"2025-01-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11762632/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143052439","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Modified dosing schedule efficacy of fosmidomycin and clindamycin against murine malaria Plasmodium berghei 改良给药方案:磷霉素和克林霉素对小鼠疟疾伯氏疟原虫的疗效观察。
IF 4.1 2区 医学 Q1 PARASITOLOGY Pub Date : 2024-12-26 DOI: 10.1016/j.ijpddr.2024.100577
Leah A. Walker, Vision Bagonza, Bryce Bobb, David J. Sullivan
Fosmidomycin and clindamycin target the Plasmodium apicoplast. Combination clinical trials have produced mixed results with the primary problem being the recrudescent infection frequency by day 28. Given that antibiotic efficacy against bacterial infections often depends on the constant drug presence over several days, we hypothesized that the antimalarial blood or liver stage efficacy of fosmidomycin and clindamycin could be improved by implementing a more frequent dosing schedule. A blood stage murine malaria P. berghei GFP-luciferase low and high parasitemia model was implemented to follow pharmacodynamics and cure for modified dose, schedule and duration of individual and combination fosmidomycin and clindamycin. P. berghei sporozoites were used to investigate fosmidomycin during the 48 h murine liver stage. Here we observed that the same total dose of fosmidomycin and clindamycin, alone and in combination, are more efficacious when scheduled in smaller, more frequent doses. Fosmidomycin added measurably small additional killing in combination with clindamycin. Despite dosing every 6 h during liver stages, fosmidomycin was inhibitory, but noncurative even with addition of atorvastatin to decrease hepatocyte production of mevalonate. We have also demonstrated in vitro efficacy of fosmidomycin and clindamycin against P. falciparum C580Y with IC50s similar to those for drug sensitive P. falciparum. The dosing schedule of quinoline and artemisinin partner drugs fosmidomycin or clindamycin targeting the apicoplast should maximize time above minimum inhibitory concentration.
Fosmidomycin和clindamycin靶向顶质体。联合临床试验产生了不同的结果,主要问题是28天的复发感染频率。鉴于抗生素对细菌感染的疗效通常取决于药物在数天内的持续存在,我们假设可以通过实施更频繁的给药计划来提高fosmidomycin和clindamycin的抗疟疾血液或肝期疗效。建立血期小鼠柏氏疟原虫gfp -荧光素酶低、高寄生虫血症模型,观察单、联用fosmidomycin和clindamycin改变剂量、时间表和持续时间的药效学和疗效。采用贝氏假单胞菌孢子子对小鼠肝期48 h内磷霉素的作用进行了研究。在这里,我们观察到,相同的总剂量的fosmidomycin和克林霉素,单独或联合,更有效时,计划较小,更频繁的剂量。Fosmidomycin与克林霉素联合使用时增加了可测量的少量额外杀伤。尽管在肝期每6小时给药一次,fosmidomycin仍有抑制作用,但即使添加阿托伐他汀以减少甲羟戊酸肝细胞的产生也无疗效。我们还证实了fosmidomycin和clindamycin对恶性疟原虫C580Y的体外抑制作用,其ic50值与对药物敏感的恶性疟原虫相似。喹啉与青蒿素配套药物针对顶质体的fosmidomycin或clindamycin的给药方案应在最小抑制浓度以上的最大时间。
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引用次数: 0
Quantitative DNA metabarcoding reveals species composition of a macrocyclic lactone and pyrantel resistant cyathostomin population in the UK 定量DNA元条形码揭示了英国大环内酯和吡喃嘧啶抗性胞口蛋白种群的物种组成。
IF 4.1 2区 医学 Q1 PARASITOLOGY Pub Date : 2024-12-22 DOI: 10.1016/j.ijpddr.2024.100576
K.E. Bull , J. Hodgkinson , K. Allen , J. Poissant , L.E. Peachey
Cyathostomins are the most abundant equid endoparasites globally. There are approximately fifty cyathostomin species and, whilst they occupy distinct niches within the large intestine, they are generally considered to share similar characteristics in terms of pathogenicity and response to drug treatment. There are three classes of anthelmintic licensed in the UK to treat cyathostomins (benzimidazoles, tetrahydropyrimidines and macrocyclic lactones) and cases of resistance have been documented for all classes. Previously, faecal egg count reduction tests (FECRT) on four UK Thoroughbred studs revealed multidrug resistant cyathostomins on one stud (A), with evidence of resistance to the macrocyclic lactones (MLs) ivermectin (IVM) and moxidectin (MOX), and to pyrantel (PYR). The remaining three studs (B-D) lacked resistance to IVM and MOX but had a shortened egg reappearance period post treatment.
To determine whether specific species could be associated with the observed resistance and shortened egg reappearance period, strongyle eggs collected from between six and 15 individual horses per stud were copro-cultured to third larval stage (L3), before and after anthelmintic treatment, over a three-year timeframe (2021–2023). Quantitative DNA metabarcoding of the ITS-2 region was carried out on all samples.
On stud A, single but differing species were found to be responsible for ML and pyrantel resistance in yearlings, Cyathostomum catinatum and Cylicocyclus nassatus, respectively. On studs B-D, with shortened egg reappearance periods, species composition remained largely unchanged post treatment.
This study is the first to quantitatively profile cyathostomin species composition pre- and post-treatment in a multidrug resistant population in the UK, revealing that resistance in cyathostomins was species specific. This raises the question of whether these species may be responsible for ML and PYR resistance more widely and indicates that anthelmintic resistance in cyathostomins may not be a multi-species phenomenon.
Cyathostomins是全球数量最多的马类内寄生虫。大约有50种胞口蛋白,虽然它们在大肠内占据不同的生态位,但它们通常被认为在致病性和对药物治疗的反应方面具有相似的特征。在英国,有三类驱虫药(苯并咪唑、四氢嘧啶和大环内酯)被许可用于治疗cyathostomins,并且已记录了所有类别的耐药性病例。此前,对4种英国纯种马的粪卵计数减少试验(FECRT)显示,1种种马(A)对胞口素具有多药耐药性,并有证据表明对大环内酯(ml)、伊维菌素(IVM)和莫西丁素(MOX)以及吡喃嘧啶(PYR)具有耐药性。其余3种种马(B-D)对IVM和MOX缺乏抗性,但处理后卵再现期缩短。为了确定特定物种是否与观察到的抗性和缩短的卵再现期有关,在三年时间内(2021-2023),从每种马的6至15匹马身上收集圆形卵,在驱虫药治疗前后共培养到第三幼虫期(L3)。对所有样本进行ITS-2区域的定量DNA元条形码。在A种上,发现1种但不同的种分别对幼虫、卡林菊和纳萨塔菊的ML和吡喃酮产生抗性。在B-D种上,随着卵再现周期的缩短,物种组成在处理后基本保持不变。这项研究首次定量分析了英国多药耐药人群中cyathostomins的物种组成,揭示了cyathostomins的耐药性是物种特异性的。这就提出了一个问题,即这些物种是否可能更广泛地导致ML和PYR耐药,并表明cyathostomins的虫虫耐药可能不是一个多物种现象。
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International Journal for Parasitology: Drugs and Drug Resistance
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